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RIGHT AORTIC ARCH WITH ABERRANT LEFT SUBCLAVIAN ARTERY: ANEURYSMAL DILATATION CAUSING SYMPTOMATIC COMPRESSION OF THE RIGHT MAIN BRONCHUS IN AN ADULT
Author(s) -
Patiniotis Tony C.,
Mohajeri Morteza,
Hill David G.
Publication year - 1995
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1995.tb00683.x
Subject(s) - medicine , aortic arch , stridor , radiology , right main bronchus , dysphagia , right common carotid artery , descending aorta , aneurysm , bronchus , digital subtraction angiography , subclavian artery , thoracic aorta , right coronary artery , aorta , angiography , surgery , cardiology , common carotid artery , respiratory disease , coronary angiography , lung , carotid arteries , airway , myocardial infarction
A 60 year old woman presented with a cough, nocturnal stridor and dysphagia. Bronchoscopy showed tight compression of the right main bronchus. Digital subtraction angiography (DSA) and a computed tomographic (CT) scan showed the presence of a right‐sided aortic arch with aberrant left subclavian artery. The distal right arch and proximal right‐sided descending thoracic aorta were aneurysmal and were responsible for this compression. Surgical relief was accomplished by dividing the aberrant left subclavian artery and replacing the aneurysm with a vascular graft.